Thomas E Blasdel

NPI 1083793962 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1083793962
Enumeration Date 11/03/2006
Last Updated 06/17/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name THOMAS THOMAS
Position OWNER PIC
Phone (618) 895-2844
Fax (618) 895-2844
Practice Location
310 S MAIN ST
WAYNE CITY IL, 62895-0308, US
Phone (618) 895-2844
Fax (618) 895-2844
Business Location
PO BOX 308
WAYNE CITY IL, 62895-0308, US
Phone
Fax
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Thomas E Blasdel NPI is 1083793962, taxonomy code is 332B00000X Thomas E Blasdel physically located at 310 S Main St, Wayne City IL, 62895-0308. NPI Number 1033115704 has the healthcare provider type.

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1083793962 NPI number is provided on an as is basis without warranty of any kind. 1083793962 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas E Blasdel are for informational purposes only.